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Individual
MOBOLANLE A. FAGBEMI
Active
Individual
MOBOLANLE A. FAGBEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN. FNP-C, CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP119341
TX
363LP0200X
Pediatric Nurse Practitioner
AP119341
TX
Other
Enumeration date
09/13/2011
Last updated
11/05/2020
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